BARBARA M MADISON ARNP
NPI 1316931538
Nurse Practitioner in Ocala, FL

Active since September 02, 2005PECOS EnrolledAccepts Medicare Assignment
1431 SW 1ST AVE, OCALA, FL 34471(352) 804-0938 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 18, 2025, Apr 25, 2019 (2 updates tracked since 2019).

About Barbara M Madison Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BARBARA M MADISON ARNP (NPI 1316931538) is an individual nurse practitioner in Ocala, Florida, licensed in Florida (ARNP9177378) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1316931538
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBARBARA M MADISONCredential: ARNP
Location Address1431 SW 1ST AVEOcala, FL 34471-6500
Mailing Address47601 Grand River AveNovi, MI 48374-1233 · (248) 465-4311
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateSeptember 2, 2005
Last NPPES UpdateDecember 18, 20252 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
✔ NPI 1316931538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · ARNP9177378
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedPhysician AssistantTaxonomy 363A00000X · License 002392 (NY)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 9177378 (FL)
1431 SW 1ST AVE, Ocala, FL 34471

Other Names 1

Former Name (1)Barbara Nisenbaum Np

Secondary Practice Locations 4

Location 147601 Grand River AveNovi, MI 48374-1233 · Phone (248) 465-4311
Location 26500 W Newberry RdGainesville, FL 32605-4309 · Phone (352) 333-4000
Location 31500 SW 1st AveOcala, FL 34471-6504 · Phone (352) 804-0938
Location 44600 SW 46th CtOcala, FL 34474-5708 · Phone (352) 804-0938

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Barbara M Madison Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092816413
PECOS Enrollment IDI20251218003093
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Barbara Madison reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
1630 SE 18TH ST, UNIT 103
Ocala, FL 34471
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
Psychiatry
16001 W 9 MILE RD, PHYSICIAN BILLING SERVICES
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Henry Ford Health Providence Hospital
  • 393 clinicians in this Medicare group
Primary Care
109 E WALNUT ST
Columbus Junction, IA 52738
  • Reassigned Medicare billing, Iowa enrollment
  • 17 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34471 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1431 SW 1ST AVE
OCALA, FL 34471
Physician Assistant (Surgical)
1431 SW 1ST AVE
OCALA, FL 34471
Emergency Medicine
1431 SW 1ST AVE
OCALA, FL 34471
Emergency Medicine
1431 SW 1ST AVE, BITZER BLDG, SUITE 7
OCALA, FL 34471
Emergency Medicine
1431 SW 1ST AVE
OCALA, FL 34471
Student in an Organized Health Care Education/Training Program
1431 SW 1ST AVE
OCALA, FL 34471
Student in an Organized Health Care Education/Training Program
1431 SW 1ST AVE
OCALA, FL 34471
Student in an Organized Health Care Education/Training Program
1431 SW 1ST AVE
OCALA, FL 34471

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Barbara Madison's NPI number?

The NPI number for Barbara Madison is 1316931538. It was assigned to this individual provider in the NPPES registry on September 2, 2005. The provider is also known as Barbara Nisenbaum Np.

Where is Barbara Madison located?

Barbara Madison practices at 1431 SW 1st Ave, Ocala, FL 34471. The listed phone number is (352) 804-0938.

What is Barbara Madison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Barbara Madison enrolled in Medicare?

Yes. Barbara Madison is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Barbara Madison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Barbara Madison reassigns Medicare benefits to 3 organizations: Concierge Bariatrics (Ocala, FL), Ascension Providence Hospital (Southfield, MI) and Mercy Services Iowa City, Inc. (Columbus Junction, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Barbara Madison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Barbara Madison accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Barbara Madison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Barbara Madison was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.